Aetna Better Health of Pennsylvania Implementation Resources
Please download and read through the following material. Our goal is to make the change to EviCore by Evernorth as seamless and easy as possible and these documents will explain the process. There is contact information in the material if you have any questions.
EviCore by Evernorth is pleased to expand its partnership with Aetna Better Health of Pennsylvania to provide authorization services for Aetna Better Health of Pennsylvania members. On September 26th, 2016, EviCore will begin accepting requests for all outpatient elective Cardiology studies with dates of service Monday, October 3rd, 2016, and after. All outpatient elective Pain Management, CT/CTA, MRI/MRA, PET, Nuclear Cardiac, and Non-OB Ultrasound studies will continue to require prior authorization through EviCore.
Effective October 3rd, 2016, EviCore is also implementing a change of process for initiating pain management pre-certification requests. Beginning October 3rd, 2016, online requests for approval can be initiated via the EviCore web portal located at www.evicore.com, via phone at 1-888-693-3211, or via fax at 844-82AETNA. Click here for approved fax forms.
Cardiovascular
Radiology
Musculoskeletal
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Registration Instructions
EviCore highly recommends providers take full advantage of the online capabilities at https://www.evicore.com/provider
Here you can request prior authorization, review our nationally accepted evidence-based guidelines, and receive announcements about program updates. Access requires only your email address and a brief registration.